Individual
BURKE HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(208) 206-9486
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6415
OK
Other
Enumeration date
05/30/2017
Last updated
12/22/2020
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